Section I: Membership Application (Please Print or Type)

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Telesca Center fr Justice One West Main Street, 10 th Flr Rchester, New Yrk 14614-2098 Visit us at www.mcba.rg Sectin I: 2018-19 Membership Applicatin (Please Print r Type) Name **Birth Date Firm Affiliatin (if any) Business Address (Street r P.O. Bx) (Suite N.) (City) (State) (Zip) Business Phne N. Fax N. Hme Address Hme Phne N. (Street) (City) (State) (Zip) Admitted t Practice in New Yrk Where (Mnth) (Day) (Year) (Department) Admitted t Other State Bar(s) State (Mnth) (Day) (Year) (Department) Cllege Law Schl Year Graduated **Biennial Registratin Date I certify that I am licensed t practice law and that I will abide by the ByLaws (attached) f the Mnre Cunty Bar Assciatin. Date f Applicatin Signature Annual dues: Please select the apprpriate level based n the first year yu were admitted t the practice f law REGARDLESS OF WHICH STATE the admissin was in. Our fiscal year is frm July 1 t June 30. Year f Admissin Regular Participating District 2018 $0.00 $0.00 $0.00 2017 $60.00 $50.00 $50.00 2016 $120.00 $95.00 $110.00 2015 $140.00 $120.00 2014 & Prir $200.00* 2014 2013 $165.00 $185.00 $130.00 $145.00 *Less dues paid t anther cunty bar assciatin within the 7 th Judicial District, but nt less f dues payment t MCBA than $160.00. 2008-2012 $220.00 $175.00 Prf f membership payment t 2003-2007 $255.00 $200.00 ther bar is required with this 2002 and prir $290.00 $215.00 applicatin. Retired Attrney Membership: $130.00

New Admittees and Law Students $0.00 Please check ff ne f the fllwing: 2017 New Admittee (admitted t NYS Bar n ) Cllege r Law Student (will graduate ) Awaiting results f NYS Bar Exam taken n ) Awaiting admissin t NYS Bar (t be admitted n ) Affiliate Membership (nn-attrney) $105.00. Awaiting decisin in reciprcity prcess Paralegal Legal Administratr Other (please explain) Yur Office Setting. Please circle ne f the fllwing Large Firm (50 +) Legal Service Prvider Midsize Firm (15 49) Other Small (2 14) Sl Practitiner Gvernment Judiciary/Curts Crpratin/In Huse Cunsel Please send me infrmatin and an applicatin t participate in the Lawyer Referral Service. Optinal Data Submissin: Please circle Gender: Male Female Race: African American/Black (Nn-Hispanic) Asian/Pacific Islander Caucasian/White (Nn-Hispanic) Latin/Hispanic Native American Suth Asian Other Fluency in Other Languages: American Sign Language Arabic Chinese French German Greek Italian Japanese Krean Spanish Plish Prtuguese Russian Other Please check this bx if yu have served r are serving in the U.S. military armed frces. Please Enclse Remittance Payable T The Mnre Cunty Bar Assciatin Membership Dues Sectin Dues Optinal Cntributins Fundatin f the Mnre Cunty Bar* Academy f Law Schlarship Fund * $20.00 MCBA Patrn ($200) $ MCBA President s Circle ($500) $ Ttal $ *501c3 --Tax deductible Payment Methd: Earn MCBA Bucks! Did anther MCBA member refer yu t jin? Please let us knw his r her name. Fr every new member referral, we give $20 in MCBA Bucks t the referring attrney. (Newly admitted attrney referrals are nt included in this prmtin): Check AMEX Mastercard Visa Cardhlder s Name Accunt # Exp. Date: Security Cde: Cardhlder s Signature If yu re interested in mre infrmatin abut the Lawyer Assistance Fund r Installment Plans t help defer the cst f membership, ARTICLE please cntact Liz Nvak at lnvak@mcba.rg r at 585-546-1817. I

Mnre Cunty Bar Assciatin Classes MEMBERSHIP Sectin 1. A "Member" f the Assciatin is defined t mean any individual wh meets the criteria fr membership in the Assciatin and wh has paid all current dues as required by the Assciatin. Sectin 2. Classes f Members. (A) There shall be the fllwing classes f Members in the Assciatin: (i) Regular Member. Any persn wh is admitted t the practice f law in the State f New Yrk shall be eligible t be a Regular Member f the Assciatin. (ii) Participating Member. Any persn wh is (a) admitted t the practice f law in any jurisdictin ther than the State f New Yrk, r (b) des nt reside, have an ffice r practice in the Seventh Judicial District and des nt wrk in the Curts in the Seventh Judicial District shall be entitled t be a Participating Member. (iii) District Member. Any persn wh is (a) admitted t the practice f law in the State f New Yrk, and (b) resides within the Seventh Judicial District and des nt reside r have an ffice in Mnre Cunty and des nt wrk in the Mnre Cunty Curt System shall be eligible t be a District Member. (iv) Retired Member. Nn-judicial members wh have retired and have filed a certificatin with the Chief Administratr f Curts, pursuant t 22 NYCRR 118.1(g). (v) Hnrary Member. Regular Members whm the Bard f Trustees, in its discretin selects, r wh qualify pursuant t a plicy adpted by the Bard f Trustees, shall becme Hnrary Members f the Assciatin. (vi) Patrn Member. Patrn memberships in the Assciatin shall be available t such members either Regular, Participating, Retired r Hnrary, as are willing, fr the supprt f the general wrk f the Assciatin, t pay such amunt as annual dues in any year as the Bard f Trustees may determine frm time t time. A member wh decides t be a Patrn Member in any year shall nt be bligated t cntinue as such in any subsequent year. (vii) New Admittees & Cllege/Law Students. Attrneys admitted t the practice f law wh are in their first year f admissin (New Admittees), law schl students, and thse awaiting admissin after passing the State Bar exam, as well as thse awaiting results f the Bar exam. Fr New Admittees this member classificatin shall end n June 30 in the year fllwing the year f admissin. (B) Affiliates. Paralegals, legal assistants and law administratrs, and law schl graduates wh are nt admitted in any jurisdictin shall be eligible fr Affiliate Status. In additin, the Bard f Trustees shall have pwer t grant Affiliate Status upn such ther persns as the Bard f Trustees in its discretin may decide wuld benefit frm r assist the Assciatin by such Affiliate Status. (C) Judges. Judges f curts f recrd shall be eligible t serve as members f cmmittees and sectins, and except as prhibited by law, be eligible t serve as Officers and as Trustees f the Assciatin in accrdance with these By-laws. Sectin 3. Selectin f Members and Affiliates. Assciatin shall apply t the Assciatin in writing using the Membership Applicatin furnished by the Assciatin. Each Membership Applicatin shall be accmpanied by the apprpriate annual dues except that dues shall nt be due fr the year fllwing ne's admissin t the practice f law. The Executive Directr shall prmptly review each Membership Applicatin t verify cmpliance with Sectin 2 f this Article and shall reprt theren t the Bard f Trustees. An applicant shall thereupn becme a Member r Affiliate and be entitled t all the rights and privileges f membership. Sectin 4. Rights and Privileges f Members and Affiliates. (A) All Members and Affiliates f the Assciatin shall have the right t attend all meetings f the Assciatin; t engage in deliberatins at such meetings; t petitin the Bard f Trustees; and t participate in all prgrams and activities spnsred by the Assciatin. (B) Patrn Members shall have all the rights and privileges t which they wuld have been entitled had they chsen t remain Regular, Assciate, Senir r Hnrary Members, as the case may be. Patrn Members shall enjy n additinal rights and privileges as a result f becming Patrn Members. (C) Only Regular, Participating and Senir Members f the Assciatin shall be entitled t vte r serve as an elected Officer r Trustee f the Assciatin. Sectin 5. Dues. The Bard f Trustees shall have full pwer t hereafter adjust the amunt f dues except that the Bard f Trustees may nt increase the dues f Regular r Participating Members in an amunt t exceed twenty percent (20%) f the previus year's dues withut the prir apprval f a majrity f the Members qualified t vte wh are present in persn r by prxy at any duly held meeting f the Assciatin, prvided ntice f the prpsed increase has been given in the ntice f the meeting. The Bard f Trustees may decrease r eliminate the dues fr any categry f membership r any individual r individuals pursuant t such plicies as it may frm time t time adpt. Sectin 6. Terminatin f Membership. The Bard f Trustees, in its discretin, may grant a leave f absence frm the Assciatin t any Member, withut dues, upn such terms and cnditins as it prescribes. The Bard f Trustees shall establish a written plicy fr the assessment f late fees against thse wh fail t pay dues within the time perid prescribed in such plicy, and fr terminatin frm membership, n ntice f Members whse dues remain in arrears beynd the grace perid prescribed in such plicy. Sectin 7. Membership in the Assciatin. Membership in the Assciatin shall, unless therwise directed by the Bard f Trustees, be terminated during any perid in which a Member is suspended frm practice by an Appellate Divisin r like authrity r when a Member has been disbarred r resigns frm admissin t practice law.

Sectin II: 2018-19 Sectin Membership Enrllment Frm Sectin membership is pen t all members f the Bar Assciatin. Sectins ffer educatinal prgrams fr their members and fr the entire assciatin. Please indicate thse sectins in which yu wish t enrll frm July 1, 2018 June 30, 2019. Name Phne (Please Print) Address Zip Enclsed is $ fr sectin dues as stated belw. ( ) Business Law Sectin $35.00 ( ) Criminal Justice Sectin $35.00 ( ) Family Law Sectin $35.00 ( ) Litigatin Sectin $35.00 ( ) Real Estate Sectin $35.00 ( ) Tax Sectin $35.00 ( ) Trusts & Estates Sectin $35.00 ( ) Yung Lawyers Sectin $25.00* *waived fr thse admitted in 2018 r awaiting admissin

Sectin III: 2018-19 Cmmittee Sign-Up Frm Jin an MCBA cmmittee t pursue yur interests, cntribute yur talents and advance yur prfessin. Yu must be an MCBA member t jin a cmmittee. Please indicate thse cmmittees in which yu wish t enrll frm July 1, 2018 June 30, 2019. Name Phne (Please Print) Address Zip Please check the cmmittees yu wuld like t jin. Cmmittees: Access t Justice Bankruptcy Disability, Labr & Emplyment Law Elder Law Envirnmental Law Health & Well-Being Prgramming Lawyers fr Learning LGBT Memrial Municipal Attrneys Schl Attrneys Senir Attrneys Sl & Small Practice Veterans Cmmittees Requiring Appintment: Academy f Law Awards Diversity Ethics Fee Arbitratin Huse/Finance Judiciary Nminating Prfessinal Perfrmance Yur Ideas fr Other Cmmittees r Interest Grups: Please return this applicatin alng with apprpriate dues t: Mnre Cunty Bar Assciatin Telesca Center fr Justice One West Main Street, 10 th Flr Rchester, NY 14614-2098 Attn: Membership Department r fax t (585) 546-1807 Fr questins, please cntact: Liz Nvak, Membership & Cmmunicatins Manager, at (585) 402-7193